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THE CI"1 � Y v� � VERET'I' <br />�.. <br />Sketch of Proposed Sewer Connection for Suilding Situated on Lot_,-� � Block___ <br />Division or Addition�i� ��� �_ y' �� '� <br />�� � �/. � -� / <br />No. �. �-3y' 1�-�- � -�', 1�Y � Owned by <� ' ;�'_�t..%�iP�Gt , <br />; Applicafion and <br />Remarks :— <br />,: <br />_ . ; . � -.�:.�=- <br />Depth of Sewer at Connection I <br />' �!c. � J <br />; �_� �� —.�`r - �ll�l <br />t <br />1 I�~�1,�...t: � <br />�� h <br />� <br />��" �'� .�:t�� � t �� ,,.-� 1 �,t,�:.., � <br />ConnecNon made ihe__l Q_dayof—� 191— Examined and Approved by � �� <br />� � -� � � . -- Q%4G4 �l� �� - ���Engine �. <br />--�.__�(_�_' ,'� _ �.4. � Su�4ofSlreetsandSewers Qy----�.��� ���.�}'--^� �✓�..�-9.'! /% <br />(. . ' , � • , � � . / <br />�Y_ —� ��=-- � �—� - — -- - — -- :'L-? _`' t--Inspector --- —� — =�"'= � .5 1 � f � �.9 <br />..w...�..�.... <br />